E P I C Home Care

The agency failed to ensure the plan of care included interventions with objectively measurable goals specific to the individualized needs of the patient in 1 (P-5) of 7 records reviewed, resulting in the potential for poor patient outcomes and unmet care needs for this patient.

The agency failed to ensure the comprehensive assessment included an accurate review of all medications to determine potential adverse effects or duplicate drug therapy in 3 of 7 (P-1, 2, 3) records reviewed, resulting in the potential for harmful medication effects for all patients serviced by…

The agency failed to ensure the clinical record contained accurate clinical notes for 1 (P-3) of 7 records reviewed, resulting in the potential for poor patient outcomes and a lack of information for all agency staff caring for the patient.

The agency failed to ensure the registered nurse prepared appropriate patient care instructions for the aide in 3 of 5 (MR #2, 4, 5) records reviewed with aide services, resulting in the potential for a poor patient outcome for this patient.

The agency failed to ensure the initial assessment visit was conducted within 48 hours of referral for 2 of 7 (MR# 5, 6) records reviewed, resulting in a delay in determining the immediate care and support needs for these patients.

The agency failed to conduct a patient-specific, comprehensive assessment that accurately reflected the patient's current health status based on past medical history that included dates of onset, exacerbations, treatments and outcomes, and history of events leading to current home care needs in 4…

The agency failed to ensure plans of care included all treatments, and measurable outcomes and goals for 5 of 7 (MR#1, 2, 4, 5, 6) records reviewed, resulting in the potential for poor patient outcomes.

The agency failed to ensure the plan of care contained all patient care orders for 1 of 1 (MR#5) records reviewed with wound care orders, resulting in the potential for a poor patient outcome for this patient.

The agency failed to ensure a discharge summary was sent to the physician within 5 business days of discharge for 1 of 2 (MR#6) discharge records reviewed, and failed to ensure the discharge summary was complete, provided the patient's current health status at the time of discharge, and documented…